Ms Tina Catherine Friend, MCD CCC-SLP is a
Speech-language Pathologist based in Manchester, Georgia. Ms Tina Catherine Friend is licensed to practice in Georgia (license number SLP005499) and her current practice location is
55 Roberta Rd, Manchester, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 575-5396.
NPI number for Ms Tina Catherine Friend is 1053315895 and her current mailing address is 55 Roberta Rd, Manchester, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053315895.
Healthcare Provider's Profile
| Full Name | Ms Tina Catherine Friend |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 55 Roberta Rd, Manchester, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053315895
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Tina Catherine Friend such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053315895 | NPI | - | NPPES |
| 341976 | Other | GA | WELLCARE CMO # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SLP005499 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tina Catherine Friend is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tina Catherine Friend, MCD CCC-SLP
55 Roberta Rd,
Manchester, GA 31816-6501
Ph: (706) 575-5396 | Ms Tina Catherine Friend, MCD CCC-SLP
55 Roberta Rd,
Manchester, GA 31816-6501
Ph: (706) 575-5396 |
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